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NPLEX II - Emergency Medicine (Anderson) Questions and Correct Answers | Latest Update
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Croup -:- Inflammation below the epiglottis, usually 3 mo-3 yrs, while asleep, complication of viral infxn, dyspnea, inspiratory stridor, seal bark --> breathe cold moist air for 5 min Seal bark -:- Stridor breathing = airway compromise! Doesn't have to be croup - can be a FB, asthma, ...

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  • 19 de septiembre de 2024
  • 31
  • 2024/2025
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  • nplex ii emergency medicine anderson questions
  • croup inflammation below the epiglottis usu

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2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




NPLEX II - Emergency Medicine (Anderson)
Questions and Correct Answers | Latest
Update
Croup


✓ -:- Inflammation below the epiglottis, usually 3 mo -3 yrs, while asleep,

complication of viral infxn, dyspnea, inspiratory stridor, seal bark -->

breathe cold moist air for 5 min




Seal bark


✓ -:- Stridor breathing = airway compromise! Doesn't have to be croup -

can be a FB, asthma, etc.




Croup Tx


✓ -:- Supportive care, watch child, have parents watch for fever, dyspnea;

PE for tonsillitis




Croup on x-ray


✓ -:- Steeple sign (for croup = laryngotracheobronchitis), which is

narrowing of the subglottic airway


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,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




Epiglottitis


✓ -:- 3-10 yo, d/t having tiny airway; can be from H. influ or beta

hemolytic strep inxn;

fever, dyspnea, inspiratory stridor, drooling, head down --> don't open their mouths or

bring their heads back




Epiglottitis Tx


✓ -:- Send to hospital, NOT in parent's car bc no airway management

capabilities; will be given Abx




Epiglottitis on x-ray


✓ -:- Thumbprint sign, big swollen epiglottis




Emergency oxygen**


✓ -:- Adult RR <12 or >20

Child RR <15 or >30


Infant RR <25 or >50


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,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




Flow rates for devices


✓ -:- Nasal cannula = 1-6L, 24-44% O2

Resuscitation mask = 6-15L, 35-55% O2


Non-rebreather mask = 10-15L, 90%+ O2


BVM = 15L+, 90%+ O2 (bag valve mask)




Sign of upper airway obstruction


✓ -:- Possible retractions of the thorax: intercostal, suprasternal,

supraclavicular; and stridor, blueish flush, drooling, LOC




Most common reason for choking


✓ -:- Tongue obstruction in unconscious victim (head tilt, chin lift)




What do you do if pt is coughing strongly?


✓ -:- Do not intervene; support if they fall over; encoura ge them to keep

coughing




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, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



Heimlich alternative for pregnant or obese


✓ -:- 5 chest thrusts: fists on sternum; upward/inward thrusts; f

unsuccessful, support chest with one hand and give back blows with the

other




If enter room and find unconscious victim, what do you do?


✓ -:- Assess the victim (RAPCAB);

Give CPR if needed;


After giving compressions: look for object in throat, then give breaths




Choking, conscious infant


✓ -:- Position with head downward

5 back blows (check for expelled object)


5 chest thrusts (check for expelled object)


Repeat




Choking, unconscious infant


✓ -:- RAPAB

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